Nonsurgical Management of Phenytoin-induced Gingival Hyperplasia.

Abstract

INTRODUCTION:

The aim of this report is to present a severe case of phenytoin (PHT)-induced gingival hyperplasia in a Saudi patient.

MATERIALS AND METHODS:

A 12-year-old male epileptic patient, undergoing PHT therapy, was diagnosed clinically with severe gingival hyperplasia. His treatment consisted meticulous oral care and weekly professional prophylaxis. The patient was advised oral folic acid supplementation (0.5 mg/day) and was also recommended 0.2% chlorhexidine gluconate mouthwash twice daily.

RESULTS:

There was significant reduction in the hyperplastic tissue within 4 weeks of treatment.

CONCLUSION:

It is possible to treat PHT-induced gingival hyperplasia non-surgically with intensive dental care, correct oral hygiene and oral folic acid supplements.

• Authors: Yousef A AlJehani
• Journal: The journal of contemporary dental practice (J Contemp Dent Pract) Vol. 16 Issue 4 Pg. 319-21 (Apr 01 2015) ISSN: 1526-3711 [Electronic] India
• PMID: 26067737 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Anti-Infective Agents, Local
• Anticonvulsants
• Mouthwashes
• Vitamin B Complex
• Phenytoin
• Folic Acid
• chlorhexidine gluconate
• Chlorhexidine

Topics

• Anti-Infective Agents, Local (therapeutic use)
• Anticonvulsants (adverse effects)
• Child
• Chlorhexidine (analogs & derivatives, therapeutic use)
• Dental Prophylaxis (methods)
• Dietary Supplements
• Folic Acid (therapeutic use)
• Gingival Hyperplasia (chemically induced, therapy)
• Humans
• Male
• Mouthwashes (therapeutic use)
• Oral Hygiene (methods)
• Phenytoin (adverse effects)
• Vitamin B Complex (therapeutic use)